NPI: 1821334392 · RAPID CITY, SD 57702 · Dentist · NPI assigned 01/02/2013
| Authorized Official | DAVIES, LAURA (DENTIST) |
| NPI Enumeration Date | 01/02/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 299 | $10K |
| 2019 | 78 | $2K |
| 2022 | 261 | $9K |
| 2023 | 1,085 | $46K |
| 2024 | 1,236 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 701 | 694 | $42K |
| D0120 | Periodic oral evaluation - established patient | 625 | 625 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 394 | 375 | $21K |
| D1206 | Topical application of fluoride varnish | 560 | 552 | $15K |
| D1351 | Sealant - per tooth | 351 | 44 | $14K |
| D0274 | Bitewings - four radiographic images | 220 | 202 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 46 | 46 | $6K |
| D4910 | 12 | 12 | $1K | |
| D0330 | Panoramic radiographic image | 13 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 37 | 37 | $539.16 |